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高等级窦汇区硬脑膜动静脉瘘:安全牺牲直窦的技术要点。

High grade torcular DAVF: Technical aspects to safely sacrifice the straight sinus.

作者信息

Lord James, Al-Tibi Mohammad, Volders David, Radovanovic Ivan, Terbrugge Karel, Krings Timo, Hendriks Eef J

机构信息

Division of Neuroradiology, University Medical Imaging Toronto and Joint Department of Medical Imaging, University Health Network, Toronto Western Hospital, Canada.

Department of Neurosurgery, University Health Network, Toronto Western Hospital, Canada.

出版信息

Neuroradiol J. 2025 Aug 5:19714009251362825. doi: 10.1177/19714009251362825.

Abstract

High grade torcular DAVFs can be challenging to treat, particularly when there is retrograde flow in the straight sinus and deep venous system. We describe the technical steps to safely sacrifice the straight sinus, including preoperative MRI findings, arterial and venous cerebral flow assessment and key points for endovascular treatment.

摘要

高级别窦汇区硬脑膜动静脉瘘(DAVFs)的治疗具有挑战性,尤其是当直窦和深部静脉系统存在逆流时。我们描述了安全牺牲直窦的技术步骤,包括术前MRI表现、脑动脉和静脉血流评估以及血管内治疗的关键点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7390/12325241/9fa8ec1c68c6/10.1177_19714009251362825-fig1.jpg

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